摘要
目的比较腹腔镜手术与传统手术切除治疗阑尾黏液性肿瘤的临床效果。方法回顾性分析北京市平谷区医院普外科2003年1月至2017年12月收治的行手术治疗的25例阑尾黏液性肿瘤患者的临床资料,根据患者所采用的手术方式分为传统开腹手术组11例和腹腔镜手术组14例,比较两组患者的手术时间、术中出血量、住院时间、疼痛评分、胃肠功能恢复时间、下床时间以及并发症发生情况。结果所有患者经手术治疗后均痊愈出院。腹腔镜手术组患者的手术时间为(159.56±50.35) min,略高于传统开腹手术组的(121.22±43.79) min,但差异无统计学意义(P>0.05);腹腔镜手术组和传统开腹手术组患者的术中出血量[(31.71±9.93) mL vs (60.78±18.44) mL]、住院时间[(5.31±1.23) d vs (7.83±2.06) d]、疼痛评分[(4.36±1.35)分vs (5.81±1.60)分]、胃肠功能恢复时间[(30.96±7.18) h vs (40.16±8.77) h]以及下床时间[(22.36±5.64) h vs (30.47±7.58) h]比较,腹腔镜手术组均明显少于传统开腹手术组,差异均具有统计学意义(P<0.05);腹腔镜手术组患者的并发症发生率为7.14%,明显低于传统开腹手术组的45.45%,差异具有统计学意义(P<0.05)。结论与传统开腹手术比较,腹腔镜手术治疗阑尾黏液性肿瘤具有创伤小、出血量少、住院时间短、疼痛少、恢复快以及并发症少等优势。
Objective To compare the clinical effects of laparoscopic surgery and traditional operation in the treatment of mucinous tumors of appendix. Methods The clinical data of 25 patients with appendiceal mucinous tumor treated in the Department of General Surgery at Beijing Pinggu Hospital from January 2003 to December 2017 were analyzed retrospectively. According to the operative methods, the patients were divided into traditional open surgery group(11 cases) and laparoscopic operation group(14 cases). The operative time, intraoperative bleeding volume, hospitalization time, pain score, gastrointestinal function recovery time, time of getting out of bed and complications were compared between the two groups. Results All patients were cured and discharged after operation. The operative time of the patients in the laparoscopic operation group was(159.56±50.35) min, which was slightly higher than that of(121.22±43.79) min in the traditional open surgery group, but the difference was not statistically significant(P>0.05). The intraoperative bleeding volume(31.71±9.93) mL vs(60.78±18.44) mL, hospitalization time(5.31±1.23) d vs(7.83±2.06) d, pain score(4.36±1.35) vs(5.81±1.60), gastrointestinal functional recovery time(30.96±7.18) h vs(40.16±8.77) h and the time of getting out of bed(22.36±5.64) h vs(30.47±7.58) h were significantly lower in the laparoscopic operation group than in the traditional open surgery group(P<0.05). The incidence of complications was 7.14% in the laparoscopic operation group, which was significantly lower than 45.45% in the traditional open surgery group(P<0.05). Conclusion Compared with the traditional open surgery, laparoscopic operation for appendix mucinous tumors has the advantages of less trauma, less bleeding volume, shorter hospital stay, less pain, faster recovery and fewer complications.
作者
何亮
郭为钧
HE Liang;GUO Wei-jun(Department of General Surgery,Belling Pinggu Hospital,Beijing 101200,CHINA)
出处
《海南医学》
CAS
2018年第22期3143-3145,共3页
Hainan Medical Journal
基金
北京市平谷区医院科研项目(编号:pgyy2018-31)
关键词
腹腔镜手术
传统开腹手术
阑尾黏液性肿瘤
临床效果
Laparoscopic surgery
Traditional open operation
Mucinous tumor of appendix
Clinical effect
